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The relationship between neck strength and sports-related concussion in team sports : A systematic review with meta-analysis
Garrett, Joel M. Mastrorocco, Marco Peek, Kerry van den Hoek, Daniel J. McGuckian, Thomas B.
Garrett, Joel M.
Mastrorocco, Marco
Peek, Kerry
van den Hoek, Daniel J.
McGuckian, Thomas B.
Abstract
OBJECTIVE: We aimed to quantify the relationship between neck strength and sports-related concussion (SRC) for athletes participating in team sports.
DESIGN: Etiology systematic review with meta-analysis.
LITERATURE SEARCH: PubMed, PsycINFO, MEDLINE, CINAHL, CENTRAL, and Scopus were searched on March 17, 2022, and updated on April 18, 2023.
STUDY SELECTION CRITERIA: Team sports where an opponent invades the player’s territory (eg, football, rugby, basketball) that reported at least 1 measure of neck strength, and 1 measure of SRC incidence, using cohort, case-control, or cross-sectional study designs. The Newcastle-Ottawa scale was used to assess risk of bias; certainty of evidence was assessed using the Grading of Recommendations, Assessment, Development, and Evaluation approach.
DATA SYNTHESIS: Studies were summarized qualitatively and quantitatively. To understand the relationship between neck strength and future SRC incidence, random-effects meta-analysis was conducted on prospective longitudinal studies.
RESULTS: From a total of 1445 search results, eight studies including 7625 participants met the inclusion criteria. Five studies reported a relationship between greater neck strength or motor control and reduced concussion incidence. Pooled results from 4 studies indicated small (r = 0.08-0.14) nonsignificant effects with substantial heterogeneity (I2>90%). The considerable heterogeneity is likely a result of synthesized studies with vastly different sample characteristics, including participant age, playing level, and sports.
CONCLUSIONS: There was very low–certainty evidence suggesting a small, nonsignificant relationship between greater neck strength and a lower risk of sustaining a SRC.
Keywords
athletic injuries, exercise training, invasion sport, sport injuries, strength
Date
2023
Type
Journal article
Journal
Journal of Orthopaedic and Sports Physical Therapy
Book
Volume
53
Issue
10
Page Range
585-593
Article Number
ACU Department
School of Behavioural and Health Sciences
Faculty of Health Sciences
Faculty of Health Sciences
Relation URI
Source URL
Event URL
Open Access Status
License
All rights reserved
File Access
Controlled